2012 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: Watkins
Increase Medicaid Emergency Room Physician

Item 307 #21s

Item 307 #21s

First Year - FY2013 Second Year - FY2014
Health And Human Resources
Medical Assistance Services, Department of FY2013 $318,841 FY2014 $318,841 GF
FY2013 $318,841 FY2014 $318,841 NGF

Page 225, line 49, strike "$7,438,749,436" and insert "$7,439,387,118".
Page 225, line 49, strike "$9,042,320,948" and insert "$9,042,958,630".
Page 239, after line 5, insert:  
"LLL.  Effective July 1, 2012, the Department of Medical Assistance Services shall increase the physician fee 90283 for non-emergencies by half of the difference between the current fee and the fiscal year 2013 fee prior to reduction.  Effective July 1, 2013, the department shall not reduce the physician fee for 90283 for non-emergencies.  The department shall have the authority to implement this change prior to the completion of any regulatory process undertaken in order to effect such change."

(This amendment provides $318,841 from the general fund and a like amount of federal Medical matching funds each year to offset savings assumed in the Department of Medical Assistance Services budget from reducing payment for claims from emergency room physicians who treat Medicaid recipients when a retrospective review determines that the individual could have received care in an outpatient setting. Emergency room physicians have no choice in treating individuals who present in emergency rooms. Delay of payment for certain "non-emergency" Medicaid claims places an unreasonable financial burden on these providers.)